<script>

</script>

<form id="form1" method="post" style="margin:10px;">
	<div class="fitem" >
		<label style="width:100px">Kode Kampus </label>:
		<input name="kd_kampus" size="15" required="true" value="<?=$kd_kampus?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Nama Kampus</label>:
		<input name="Nama" size="30" required="true" value="<?=$Nama?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Alamat </label>:
		<input name="Alamat" size="30" required="true" value="<?=$Alamat?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Kota </label>:
		<input name="Kota" size="15" required="true" value="<?=$Kota?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Universitas </label>:
		<select id="kd_pt" name="kd_pt" style="width:200px;">
			<?=$this->mdl_prosedur->OptionUniversitas();?>
		</select>
	</div>
	<div class="fitem" >
		<label style="width:100px">Telepon </label>:
		<input name="Telepon" size="20" required="true" value="<?=$Telepon?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Fax </label>:
		<input name="Fax" size="20" required="true" value="<?=$Fax?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Status</label>:		
		<input type="checkbox" name="status" <?=$status=='A'?'checked':''?>/> Aktif
	</div>
</form>
	

